Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,682.00 / $12,729.00	Facility		$951.00	$3,682.00	$12,729.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,484.11 / $17,851.06 / $35,464.12	Facility		$9,484.11	$17,851.06	$35,464.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $203.71 / $1,827.91 / $7,920.00	Facility		$203.71	$1,827.91	$7,920.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $861.65 / $11,054.74 / $11,054.74	Facility		$861.65	$11,054.74	$11,054.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,067.22 / $1,067.22 / $1,067.22	Facility		$1,067.22	$1,067.22	$1,067.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $105.84 / $105.84 / $105.84	Facility	AS	$105.84	$105.84	$105.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,520.60 / $26,542.00 / $55,007.05	Facility		$3,520.60	$26,542.00	$55,007.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $215.86 / $5,213.89 / $5,213.89	Facility	AS	$215.86	$5,213.89	$5,213.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $921.30 / $1,204.50 / $1,883.54	Facility		$921.30	$1,204.50	$1,883.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $921.30 / $1,205.30 / $1,953.63	Facility		$921.30	$1,205.30	$1,953.63
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $357.69 / $357.69 / $357.69	Facility	80	$357.69	$357.69	$357.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $105.84 / $105.84 / $304.02	Facility	AS	$105.84	$105.84	$304.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00